Perhaps you’ve heard your friends talking about dental sealants, and how well they prevent cavities. And as soon as your child’s permanent molars come in, you absolutely plan to make an appointment at our Hiawatha, IA office for this treatment. But should you also be concerned with your child’s baby teeth? Could they benefit from sealants too?

Even though those beautiful baby teeth are going to be replaced with permanent teeth, they should still be protected. Primary teeth help with speech development, enable your child to develop proper chewing and eating habits, and serve as place holders so that permanent teeth can erupt in the correct place. That’s why you’ve been so careful to help your child brush and floss twice daily, and make regular visits to our office for exams and cleanings.

But some teeth are just harder to keep clean with regular brushing than others. Primary molars, just like permanent ones, have depressions and grooves on the chewing surfaces. These grooves collect bacteria and food particles that are hard for bristles to reach, providing a perfect opportunity for cavities to develop in those little molars.

Cavities are not the only problem which can affect primary teeth. Because baby teeth have thinner layers of protective enamel, a cavity can actually reach the pulp (the center of the tooth) more quickly, leading to pain and potential infection.

While baby teeth can be treated, with fillings, restorations, and even stainless steel crowns, preventing tooth decay is always our first, best choice. And dental sealants are recommended by the American Academy of Pediatric Dentistry and the American Dental Association as one of the most effective ways to prevent cavities in both baby teeth and adult teeth.

Dental sealants are safe and effective.  Sealants are thin coatings (usually a plastic resin or other dental material) that cover a molar’s grooves and depressions, making it impossible for bacteria and food particles to collect there. Applying them is a simple, pain-free process.

Each tooth will be examined first. If we find any signs of decay starting, we will gently treat that area before applying the sealant. After the tooth is cleaned and dried, an etching solution will be brushed on to the surface area being sealed. This etching roughens the surface so that the sealant will hold to the tooth more effectively. A thin coat of the sealant is then painted on and hardened under a curing light.

That’s all there is to it! Sealants typically last from three to five years, and some last even longer. Keep up your regular careful brushing and flossing, and we will monitor the condition of the sealants at each exam.

Talk to Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying about dental sealants. We’ll let you know if your child can benefit from the procedure even before those baby teeth give way to permanent ones. It’s never too early to prevent tooth decay!

Even before a baby is born, those tiny baby teeth are already forming. Expectant mothers can help ensure that their children’s baby teeth will be strong and healthy by getting the recommended amounts of proteins, vitamins, and minerals in their prenatal diets.

But a mother can’t “eat for two” to make sure her child’s adult teeth are healthy—children’s permanent teeth begin real growth and development only after birth. What can we do to encourage strong permanent teeth as our children grow and develop? Here are four important building blocks parents can use to lay a healthy foundation for their children’s grown-up smiles.

Serve a Tooth-Healthy Diet

The same vitamins and minerals that help create baby teeth are essential for creating healthy adult teeth. Tooth enamel, the hardest substance in the body, is almost completely made up of calcium phosphate minerals.  A diet which provides the recommended amounts of calcium and phosphorus helps your child’s body grow strong enamel. And don’t forget vitamin D, which our bodies need to absorb calcium and phosphorus.

A tooth-healthy diet should include several servings of foods which provide calcium, such as dairy products (milk, yogurt, cheese), dark leafy vegetables, and fortified juices, cereals and tofu. Phosphorus can be found in proteins like meat, fish, and poultry, as well as beans, nuts, dairy, and whole grains. Egg yolks and fatty fish are natural sources of vitamin D, and it’s easily available in fortified foods such as cow’s milk, soy milk, cereals, and orange juice.

Use the Right Amount of Fluoride

Fluoride is called “Nature’s cavity fighter” for a reason. Fluoride reduces the risk of cavities and helps strengthen tooth enamel. Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying can offer invaluable advice on when to start and how to use fluoride toothpaste to protect your child’s baby teeth and developing adult teeth.

Can there be too much of this good thing? While fluoride is a safe and effective way to protect teeth in normal, recommended amounts, too much fluoride can lead to fluorosis. This condition can cause cosmetic changes in the enamel of permanent teeth, from almost invisible lighter spots to darker spots and streaking.

How to make sure your child gets the right amount of fluoride?

For children under the age of three, use a dab of toothpaste no larger than a grain of rice. Ask Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying if fluoride toothpaste is recommended.

Young children can’t always understand the idea of spitting and rinsing after brushing, so children between the ages of three and six should use only a pea-sized dab of fluoride toothpaste, and need you there to make sure they spit and rinse afterward.

Ask us about local water fluoride levels if you have any concerns about using tap water for drinking or for mixing formula, keep fluoride toothpastes and other products out of the reach of children, monitor your children while they brush, and always check with us before giving your child a fluoride rinse or supplement.

Help Your Child Retire Harmful Thumb Sucking and Pacifier Habits

Your child might self-comfort with the help of a pacifier or thumb sucking, which can be a valuable soothing habit. But it’s important to talk to Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying to see just how long this soothing habit should last. Around the age of four, aggressive thumb or pacifier sucking can lead to problems for permanent teeth.

Vigorous sucking can cause protruding upper front teeth. Aggressive sucking can lead to changes in the shape of your child’s palate and jaw. Open bite malocclusions, where the upper and lower teeth are unable to meet, and overbites, where the upper teeth overlap the lower teeth more than they should, can also be the result of lengthy and forceful thumb sucking.

Take Care of Baby Teeth

Baby teeth are important! They bite and chew food, and they work with the tongue to help your child learn to pronounce words properly. And there’s one more important reason to make sure primary teeth stay healthy: they serve as the place holders which guide permanent teeth into their proper spots.

When a baby tooth is lost too early, due to decay or injury, the teeth on either side can drift into the empty space, preventing a permanent tooth from erupting where it needs to. Any misalignment or crowding which results may require orthodontic treatment in the future.

Call our Hiawatha, IA office if your child unexpectedly loses a baby tooth. There may be no cause for concern, or, if there’s a potential problem, an appliance called a “space maintainer,” which keeps the baby teeth from shifting out of place, can be fabricated especially for your child.

Your child’s adult teeth are being formed now. Work with us to make sure the building blocks of present and future dental health are in place. You’re giving your child the foundation for a lifetime of beautiful, grown-up smiles!

The short answer to this question? Yes. Because your child’s breath is a reflection of his or her oral health, you should talk to Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying if you notice any unpleasant changes. While better dental hygiene is usually the answer for young children, bad breath can also be a symptom of more serious problems.

Oral Hygiene

Most often, bad breath is simply a sign that your child needs a little help developing proper brushing and flossing habits.

• Show your child how to use a soft-bristled brush that fits in the mouth comfortably, be sure to brush all the surfaces of each tooth, and don’t forget to angle toward the gum line. And brush long enough. Once all the baby teeth have arrived, two minutes of brushing is usually recommended for children.
• It’s not too early to floss! Adults need to handle the flossing duties for children until they can manage on their own, so it’s a perfect time to teach technique. And, just like toothbrushes, floss should be flexible and soft.
• Don’t forget the tongue. Our tongues harbor the bacteria that cause bad breath, so finish off your child’s routine with a gentle brush of the tongue.

Better oral habits mean not only fresh breath, but give those baby teeth the best chance of staying healthy until they are naturally replaced by adult teeth. After all, baby teeth not only help your child learn to eat and speak properly, but they act as necessary placeholders so the permanent teeth are able to erupt in exactly the right spot.

Talk to a member of our Hiawatha, IA office team at your child’s next appointment if you are concerned about oral hygiene–they have many great suggestions for making brushing and flossing more efficient, comfortable, and even fun for your child.

Outside activities? You slather your kids with sunscreen. Biking? You don’t let your child leave the house without a helmet. Youth sports? You provide mouthguards and padding and headgear and all the other tools designed to keep your child safe. Protecting your child is a fundamental part of parenthood, and you take your job seriously.

Protecting your child’s dental health is fundamental, too! Tooth decay is the most common chronic disease in children, and children’s premolars and molars are far more vulnerable to decay than any of their other teeth. You can help protect your child’s molars and premolars with a simple and effective treatment—dental sealants.

• How Do Sealants Work?

The bacteria in plaque use food particles to create acids. These acids erode the minerals in tooth enamel, creating weak spots that become cavities over time. Molars and premolars are especially vulnerable to cavities because of their uneven chewing surfaces. The dips and grooves on top of the teeth—technically known as “pits and fissures”—collect food particles and bacteria, and can be difficult for children to clean completely when brushing. That’s why cavities are so common in newly erupted molars.

Dental sealants protect your child’s molars and premolars by creating a barrier that covers and smooths out the chewing surface of the tooth, preventing bacteria and food particles from getting stuck inside those uneven pits and fissures.

• What Kind of Sealants Are Available?

The two most common dental sealants are composite resin coatings and glass ionomer sealants.

With resin sealants, after each tooth is cleaned and dried, an etching solution will be brushed onto the top surface of the molar. This etching slightly roughens the surface so that the sealant will stick to the tooth more effectively. A thin coat of the sealant is then painted on and hardened under a special curing light.

Glass ionomer sealants use a flexible paste that bonds to the tooth and hardens within minutes. While they generally don’t last as long as resin sealants, they are designed to absorb and release fluoride for extra cavity-fighting protection.

• Do Sealants Work?

They certainly do! According to the Centers for Disease Control, sealants can prevent 80% of the cavities in molars and premolars, which is where 90% of children’s cavities appear. Dental sealants can last from three to five years, or even longer. Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying will check the condition of any sealants at each dental exam, and let you know if it’s time for a reapplication.

• When’s the Best Time to Get Sealants?

Tooth enamel gets harder as we get older, so children’s newly erupted teeth are more at risk for cavities. First adult molars usually arrive when a child is six to seven years old, and second adult molars come in around the age of 12. The first and second premolars can erupt between the ages of ten to 12. As soon as the first permanent molars begin to erupt, it’s a good time to talk to Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying about the best time to apply sealants.

And what about baby teeth? Even though baby teeth are meant to be replaced, they shouldn’t be lost to tooth decay before they are ready to fall out. Primary teeth help young children learn to speak and eat properly and hold the place for adult teeth so these permanent teeth come in where they should. Baby teeth have thinner enamel, and so cavities can progress more quickly. Dr. Sardzinski, Dr. Wilken, Dr. Stanley, Dr. Hanson and Dr. Heying can let you know if sealant protection for your child’s baby molars is indicated.

Applying sealants at our Hiawatha, IA office is a safe, simple, cost-effective, and painless process. Dental sealants are one more tool you can use to make protecting your child’s dental health a little easier and a lot more effective. That gets a well-deserved parents’ seal of approval!